Antiepileptics · Pharmacology

Primidone is an older antiepileptic drug that is metabolized into two active metabolites, one of which is:

  1. Phenytoin
  2. Phenobarbital
  3. Carbamazepine
  4. Diazepam
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Correct answer: Phenobarbital

Primidone is converted by the liver into phenobarbital and phenylethylmalonamide (PEMA). Much of the clinical antiseizure activity of primidone is actually due to the accumulated phenobarbital metabolite.

Difficulty: Medium Question 16 of 20

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